Frequency, duration, and type of physiotherapy in the week after hip fracture surgery – analysis of implications for discharge home, readmission, survival, and recovery of mobility
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Notice bibliographique
Résumé
PurposeTo examine the association between physiotherapy access after hip fracture and discharge home, readmission, survival, and mobility recovery.MethodsA 2017 Physiotherapy Hip Fracture Sprint Audit was linked to hospital records for 5383 patients. Logistic regression was used to estimate the association between physiotherapy access in the first postoperative week and discharge home, 30-day readmission post-discharge, 30-day survival and 120-days mobility recovery post-admission adjusted for age, sex, American Society of Anesthesiology grade, Hospital Frailty Risk Score and prefracture mobility/residence.ResultsOverall, 73% were female and 40% had high frailty risk. Patients who received ≥2 hours of physiotherapy (versus less) had 3% (95% Confidence Interval: 0–6%), 4% (2–6%), and 6% (1–11%) higher adjusted probabilities of discharge home, survival, and outdoor mobility recovery, and 3% (0–6%) lower adjusted probability of readmission. Recipients of exercise (versus mobilisation alone) had 6% (1–12%), 3% (0–7%), and 11% (3–18%) higher adjusted probabilities of discharge home, survival, and outdoor mobility recovery, and 6% (2–10%) lower adjusted probability of readmission. Recipients of 6–7 days physiotherapy (versus 0–2 days) had 8% (5–11%) higher adjusted probability of survival. For patients with dementia, improved probability of survival, discharge home, readmission and indoor mobility recovery were observed with greater physiotherapy access.ConclusionGreater access to physiotherapy was associated with a higher probability of positive outcomes. For every 100 patients, greater access could equate to an additional eight patients surviving to 30-days and six avoiding 30-day readmission. The findings suggest a potential benefit in terms of home discharge and outdoor mobility recovery.Contribution of the Paper•To substantiate a case for additional physiotherapy, evidence for an association with improved outcomes is needed.•Analysis of 5383 patients suggests greater access to physiotherapy was associated with higher probability of positive outcomes.•For every 100 patients, this could equate to six more patients avoiding 30-day readmission and eight more patients surviving to 30-days.•The association between access to physiotherapy and survival persisted irrespective of dementia diagnosis.•For other outcomes, associations varied by the presence/absence of dementia and should be explored by future cohort studies.
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle